Site Name:
Date/time (mon/day/year hrs:min)
Last rain event (date and duration):
Current weather:
Site Plan?
yes
no
Type of Stormwater system:
rain garden
(small)
bio-swale
Dry Systems
Bio-retention
bio-retention
(large)
vegetated swale
Wet Systems
Wetland
naturalize
storm basin
(retrofitted)
Constructed wetland
Wet basin
Pond
Inlets:
Identify Inlet
Ciricle which apply (can be more than
one)
pipe
sheet flow
swale
curb cut
Assessment of Work Needed
Is the inlet/entrance to the system clogged?
yes
no
Are there signs of erosion at inlet/entrance?
yes
no
sediment
leafs
Clogged with (circle all that apply):
tree/shrub branches
grass clippings
trash
Maintenance Conducted
1. Cleared and unclogged inlet/entrance.
2. Removed any grass/plants or other material blocking easy water flow entering the
pipe/planting bed.
3. Replaced stones, fabric or other erosion control material at the outflow of the inlet.




Outlets:
Identify outlet
Circle which apply (can be more than one)
pipe
berm
overflow weir
curb cut
Assessment of Work Needed
Is the outlet/overflow to the system clogged?
yes
no
Are there signs of erosion at exits/overflow?
yes
no
Where is the erosion?
in planting bed
outside the system
at entrance
at exit/overflow
Maintenance Conducted
1. Cleared and unclogged inlet/entrance.

2. Removed any grass/plants or other material blocking water flow entering the
pipe/planting bed.

3. Replaced stones, fabric or other erosion control material at the outflow of the
outlet/overflow.

Planting Bed:
Planting Bed Assessment of Work Needed
Is there sedimentation in the system/garden?
yes
no
Where is the sedimentation?
throughout
planting bed
at
exit/overflow
at entrance
* if possible collect sediment to assess quantity collected in system
Is there sedimentation in the system/garden?
Where is the erosion?
throughout planting bed
at
exit/overflow
at entrance
* if possible assess the extent of erosion in system
Are there signs of drainage issues (circle all that apply)?
yes
no
If yes what are the signs:
mulch
discoloring
saturated soils
standing water
yellowing plants
dead plants
foul odor from soil
areas of planting bed with no
plants
alive or dead/dried algae on
planting bed
If standing water is present or soil is saturated or wet
DO NOT enter the system/garden for maintenance